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Postpartum Support International Perinatal Mental Health Certification Sample Questions:

1. 86. You are working in an outpatient pediatric care setting and encounter a new mother who screens positive for depression and reports symptoms consistent with a depressive episode of moderate severity You provide her with counseling referrals but she says she does not have time to attend counseling and intends to use a self- guided web-based intervention instead. Which of the following statements represents your BEST response?

A) Inform the mother that web-based interventions are unproven and may do more harm than good: advise her that you cannot support her in this decision, and document your concerns
B) Assess the mother to be certain there are no active symptoms of suicidally, mania or psychosis, ask her to identify the web-based intervention she intends to use, advise her to call you if her symptoms worsen, and document these steps
C) Seek a psychiatric consultation based on concerns that this mother may be delusional for thinking her symptoms can be helped by a self-guided web-based intervention and document your rationale for seeking consultation.
D) Tell the mother she should only use a web-based intervention in conjunction with counseling/therapy, offer to help her set up an initial appointment with a therapist before she leaves your office, and document your concerns.

2. 95. Which of the following describe psychological interventions developed and empirically validated specifically for the perinatal population? (Select all that apply.)

A) Group interventions for pregnant and postpartum mothers
B) Psychodynamic interventions focused on mother and her family of origin
C) Couples interventions focused on mother and her partner
D) Dyadic interventions focused on mother and infant

3. 19. Risk factors for postpartum depression include: (CHOOSE ALL THAT APPLY)

A) History of abuse
B) Giving birth to a male child
C) History of mental illness
D) Concurrent life events
E) Marriage
F) Red hair

4. 38. When working with parents who have some form of sensory impairment, nurses should consider which information when writing a plan of care?

A) Childbirth education and other materials are available in Braille.
B) The best approach for the nurse is to assess the parents' capabilities rather than focusing on their disabilities
C) Technologic advances, including the Internet, can provide deaf parents with a full range of parenting activities and information
D) Visually impaired mothers cannot overcome the infant's need for eye-to-eye contact
E) One of the major difficulties visually impaired parents experience is the skepticism of health care professionals

5. 22. While making a visit to the home of a postpartum woman 1 week after birth, the nurse should recognize that the woman would characteristically:

A) Express a strong need to review the events and her behavior during the process of labor and birth.
B) Vacillate between the desire to have her own nurturing needs met and the need to take charge of her own care and that of her newborn.
C) Exhibit a reduced attention span. limiting readiness to learn.
D) Have reestablished her role as a spouse or partner.

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